Saint Mary Medical

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SAINT MARY MEDICAL

Doing business as

Palm Bay Pharmacy

Practice address

4651 Babcock St NE Ste 5a
Palm Bay, FL 32905-2808

Phone

(347) 309-1829

NPI assigned

Feb 18, 2021

Last updated

Jul 30, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marina BakhetNPI 1659976207

Title

Manger

Phone

(347) 309-1829

Specialties & licenses 1

Addresses

Other names 1

• Palm Bay Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Palm Bay Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Saint Mary Medical

  • Long Term Care Pharmacy
  • Palm Bay, FL
  • NPI 1407780026
  NPD tax ID

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marina Bakhet

  • Pharmacist
  • Vero Beach, FL
  • NPI 1659976207
  NPD Authorized official
• Jacqueline White, PHARMACIST

  • Pharmacist
  • Palm Bay, FL
  • NPI 1063218741
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1952994204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 LEXINGTON SQ SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329623411",
            "telephone_number": "347-309-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 BABCOCK ST NE STE 5A",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052808",
            "telephone_number": "347-309-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "BAKHET",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "347-309-1829"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Bay Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palm Bay Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karla Patricia Sabillon, MEDICAL FOSTER
• Rina Shiella Miranda Saculles
• Sage Wage LLC
• Christi Saint Juste
• Saint Mary Medical
• Adalaide Salas, CLC
• Temis Jazmin Salgado Paredes, RDH
• Sharon Salichs, LMHC, MA
• Andrew Reece Salvati, RRT
• Salvatore J. Martingano, D.C., P.a. (The Family Center for Chiropractic)

• Community/Retail Pharmacy in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.